Abaningi bethu bacabanga ukuthi umdlavuza webele uhlala uyisigaxa esisebeleni. Kodwa bewazi ukuthi kukhona nohlobo oluyingozi kakhulu lomdlavuza webele olungenazo izigaxa, kodwa olusakazeka ngokushesha okukhulu? Yebo, kuyiqiniso. Lokhu yilokho esikubiza ngokuthi 'umdlavuza webele ovuvukalayo' noma `(Umdlavuza Webele Ovuvukalayo - IBC)`. Lokhu kuyinto engavamile kancane, kodwa futhi kunolaka kakhulu. Yingakho ukuba nolwazi oluhle ngalokhu kubaluleke kakhulu empilweni yakho kanye nasezimpilweni zabo bonke obathandayo.
Ngakho-ke, uyini umdlavuza webele ovuvukalayo (i-IBC)?
Kalula nje, lolu uhlobo lomdlavuza webele olukhula ngokushesha kakhulu futhi olunolaka. Ngokuvamile, amangqamuzana omdlavuza ayahlangana ukuze akhe iqhubu. Kodwa lapha, kwenzeka into ehlukile. Lapha, amangqamuzana omdlavuza avimba imithambo ye-lymphatic engaphansi kwesikhumba sesifuba sakho. Cabanga ngale mithambo ye-lymphatic njengezinhlelo ezincane zokukhipha amanzi emizimbeni yethu. Lezi yizo ezisusa imfucuza emizimbeni yethu. Ngakho-ke, lapho amangqamuzana omdlavuza ehamba futhi evimba lezi zinhlelo zokukhipha amanzi, uketshezi lwe-lymph alukwazi ukugeleza futhi lubhajwe endaweni eyodwa.
Yile ndlela ukuvuvukala kwebele okwenzeka ngayo lapho uketshezi lwe-lymph lubhajwa endaweni eyodwa. Uma sikhuluma iqiniso, kubonakala sengathi ukutheleleka kwesikhumba. Yingakho abantu abaningi bekuphambanisa ekuqaleni. Ibele liba bomvu, livuvuke, futhi lizizwe lishisa. Kodwa lokhu akulona ukutheleleka, kuyisimo esibi kakhulu.
Into eyingozi kakhulu ngalo mdlavuza ukuthi usakazeka ngokushesha kangakanani. Ngalezi ziteshi ze-lymphatic, amangqamuzana omdlavuza angasakazeka ngokushesha ezicutshini eziseduze, kuma-lymph node, ngisho nakwezinye izitho zomzimba. Ngakho-ke, uma ubona lezi zimpawu , akuwona umqondo omuhle ukulibala ngazo zonke izindleko .
Ingabe izimpawu zalokhu zihlukile kweminye imidlavuza yebele?
Yebo, impela. Umehluko omkhulu nobaluleke kakhulu ukuthi ku-IBC, ngokuvamile akukho qhubu esifubeni . Kunalokho, kufanele uqaphele lezi zimpawu ezibonakala ngokushesha kakhulu, mhlawumbe phakathi namasonto ambalwa.
Into ebalulekile ukuthi lezi zimpawu zivele ngokuzumayo futhi zande ngokushesha. Azithathi izinyanga ukuba zikhule njengokushintsha kwamabele okuvamile.
Ake sibheke ithebula elingezansi ukuze sibone ukuthi ziyini lezi zimpawu. Uma unesinye noma ngaphezulu salezi zimpawu, ungasinaki.
| Isibonakaliso | Kusho ukuthini lokho? |
|---|---|
| Ubomvu, ukushintsha kombala onsomi kwesikhumba | Ukushintsha kombala wesikhumba esifubeni esisodwa okupinki, okubomvu, noma okunsomi, ngokuvamile okungaphezu kwengxenye yesithathu yesifuba. Kungase futhi kubukeke njengokulimala. |
| Ukuvuvukala kwebele, ukukhulisa | Ibele elilodwa ngokuzumayo liba likhulu kakhulu kunelinye. Lo mehluko uyabonakala ngisho nalapho ugqoke izingubo. |
| Ukuqina kwesikhumba, okufana nekhasi le-orange | Isikhumba sesifuba siyaqina futhi sibonakala njengemigoqo emincane (ama-dimples) njengesikhumba se-orange. Lokhu kwaziwa ngokwezokwelapha ngokuthi 'peau d' orange'. |
| Umuzwa wokufudumala noma umuzwa oshisayo | Ibele elithintekile lingase lizizwe lifudumele kunelinye ibele uma lithintwa. Lingase lizwakale sengathi kukhona into eshisayo ngaphakathi. |
| Ubuhlungu, ukulunywa, ukuqina | Ubuhlungu, ukulunywa okungabekezeleleki, noma ukuqina okungavamile lapho uthinta ibele. |
| Ukugoba engonweni | Ingono eyayivamile ngaphambili ngokuzumayo iba yi-inverted noma flat (inconverted nipple). |
| Ama-lymph node avuvukele | Ukuvuvukala okuncane okufana neqhubu ekhwapheni noma eduze kwentamo (eduze kwethambo lentamo). |
Kungani kwenzeka into efana nale? Yiziphi izizathu?
Eqinisweni, odokotela abakayitholi imbangela ethile yalo mdlavuza. Kodwa-ke, bathole ezinye izinto eziyingozi.
Isici esiyinhloko sengozi ukukhuluphala ngokweqile.Lokho kusho ukuthi uma i-Body Mass Index (BMI) yakho ingu-30 noma ngaphezulu, ucwaningo luthole ukuthi ingozi yakho yokuthola lesi sifo inganda kancane. Ucwaningo olwengeziwe luyenziwa ngalokhu. Kuphenywa futhi ukuthi ngabe kukhona yini ezinye izimbangela zofuzo noma ezemvelo.
Udokotela ukubona kanjani lokhu?
Uma uya kudokotela onezimpawu ozikhulumile ekuqaleni, into yokuqala azokwenza ukuhlola amabele akho ngokucophelela. Bazokubuza imininingwane eminingi mayelana nezimpawu zakho, njengokuthi zaqala nini nokuthi zanda ngokushesha kangakanani.
Ngemva kwalokho, uzothunyelwa ukuze uhlolwe kaningana ukuze kuqinisekiswe lesi sifo.
- I-Mammogram: I-X-ray yebele. Lokhu kusetshenziselwa ukubheka izinto ezinjengokuqina kwesikhumba kanye nokufakwa kwe-calcium okungavamile (i-calcification).
- I-Ultrasound Yebele: Lokhu kungabona izinguquko ezicutshini zebele.
- I-Biopsy: Lolu vivinyo olubaluleke kakhulu noluqinisekile . Kulokhu, kuthathwa isampula encane yesikhumba nezicubu ezivela ebeleni lakho bese ithunyelwa elabhorethri ukuze ihlolwe amangqamuzana omdlavuza.
Uma ukuhlolwa kwegazi kuqinisekisa ukuthi kukhona amangqamuzana omdlavuza, bazobheka namaprotheni athile (ama-receptor) kulawo maseli. Lolu lwazi luzosiza udokotela wakho ukuthi akhethe ukwelashwa okukulungele.
Ukuhlolwa ukuze kubonakale ukuthi umdlavuza ususabalele yini
Ngenxa yokuthi i-IBC uhlobo olukhula ngokushesha, lesi sifo kungenzeka ukuthi sesisakazekele kwezinye izingxenye zomzimba ngesikhathi sitholakala. Ngakho-ke, kungadingeka ukuthi wenze izivivinyo ezengeziwe ukuze ubone ukuthi umdlavuza ususakazeke kangakanani.
- I-CT scan: Ukubona ukuthi umdlavuza ususakazekele yini ezicutshini nasemathanjeni athambile emzimbeni.
- I-MRI scan (MRI): Ukubona izinguquko ezicutshini zebele ngokucacile.
- Ukuskena kwe-PET: Ukuhlolwa okubucayi okusebenzisa umuthi okhethekile ukubheka amangqamuzana omdlavuza asebenzayo noma kuphi emzimbeni.
- Ukuskena kwamathambo: Ukuhlola ukuthi umdlavuza ususakazekele emathanjeni.
Yiziphi izindlela zokwelapha lokhu?
Ngenxa yokuthi i-IBC ingumdlavuza ohlaselayo, ukwelashwa kumele kube nolaka futhi kuhlelwe. Odokotela bavame ukulandela uhlelo lokwelapha lwesinyathelo ngesinyathelo. Umgomo uwukususa ngokuphelele umdlavuza nokuwuvimbela ukuthi ungabuyi.
Uhlelo lokwelashwa lungahlukaniswa ngezigaba ezintathu eziyinhloko:
1. Ukwelashwa kwe-Neoadjuvant:
Kulokhu, into yokuqala eyenziwayo akuyona ukuhlinzwa. Into yokuqala eyenziwayo ukunikeza umuthi wokunciphisa nokubhubhisa amangqamuzana omdlavuza. Lokhu kubizwa ngokuthi i-chemotherapy.Ukwelashwa yikona okuyinhloko. I-Chemotherapy iwumuthi onamandla obulala amangqamuzana ahlukana ngokushesha (njengamaseli omdlavuza). Ngezinye izikhathi eminye imithi ehlose amaprotheni athile kumaseli omdlavuza nayo inganikezwa kanye nayo. Umgomo walesi sigaba ukunciphisa umdlavuza ngangokunokwenzeka ngaphambi kokuhlinzwa, okwenza ukuhlinzwa kuphumelele kakhulu.
2. Ukuhlinzwa:
Ngemva kokwelashwa ngamakhemikhali, isinyathelo esilandelayo ukuhlinzwa. Ku-IBC, ukwelashwa okuvamile ukuhlinzwa kwebele, okuhilela ukususa lonke ibele elinomdlavuza. Kanye nalokhu, ama-lymph node asekhwapheni nasemaphethelweni ebele nawo ayasuswa. Lokhu kungenxa yokuthi umdlavuza usakazekela kula ma-lymph node kuqala.
3. Ukwelashwa okusizayo ngemva kokuhlinzwa:
Ngemva kokuhlinzwa, lesi sigaba senzelwe ukubhubhisa noma yimaphi amangqamuzana omdlavuza asele nokuvimbela umdlavuza ukuthi ungabuyi. Lokhu kungafaka phakathi imijikelezo eminingana ye-chemotherapy, ukwelashwa ngemisebe , kanye nokwelashwa nge-endocrine. Ukwelashwa ngama-hormone kusebenza ngokuvimbela ama-hormone asiza umdlavuza ukukhula.
Lolu hlelo lokwelashwa lungahluka kumuntu nomuntu. Udokotela wakho uzofunda ngokucophelela isimo sakho futhi athuthukise uhlelo lokwelashwa olufanelana nawe.
Ungahlala kanjani uqinile ngesikhathi sokwelashwa?
Ukwelashwa komdlavuza kuyakhathaza kakhulu emzimbeni nasengqondweni. Ungase ulahlekelwe yisifiso sokudla futhi uzizwe ukhathele ngaso sonke isikhathi. Kodwa kubaluleke kakhulu ukuhlala uqinile phakathi nalesi sikhathi.
- Yidla kahle: Yidla ukudla okuhle nokunomsoco ngangokunokwenzeka. Lokhu kuzokunika amandla okubekezelela imiphumela emibi yokwelashwa.
- Ukuzivocavoca okuthambile: Ukuzivocavoca okuthambile, njengokuhamba kanye ne-yoga, kungasiza ekunciphiseni ukukhathala nokuphumula ingqondo.
- Ukunakekelwa kokunciphisa ubuhlungu: Lokhu kuyiphutha elivamile. Ukunakekelwa kokunciphisa ubuhlungu akusho ukuyeka ukwelashwa. Kumayelana nokuphatha izimpawu nemiphumela emibi njengobuhlungu, isicanucanu, nokukhathala ngenkathi uthola ukwelashwa, kanye nokukusiza ukuthi ugcine impilo yakho isezingeni elihle. Buza udokotela wakho ngalokhu.
Okokugcina, nakekela amabele akho.
Njengowesifazane, uyazi ukuthi amabele akho ayashintsha ngokuhamba kwesikhathi. Kujwayelekile ukuzwa izinguquko emabeleni akho, njengobuhlungu nokuvuvukala, ngesikhathi sokuya esikhathini, ngesikhathi sokukhulelwa, nangezikhathi ezahlukene.
Kodwa izinguquko ezibangelwa yi-Inflammatory Breast Cancer (IBC) zihluke ngokuphelele . Izinguquko zishesha kakhulu futhi zishesha. Isikhumba sesifuba siba namabala, sifane nesikhumba esiphuzi, sibe bomvu futhi sivuvuke.
Uma ubona ushintsho oluzumayo ekubukekeni nasekuzizweni kwelinye lamabele akho, ungachithi isikhathi ucabanga ukuthi kungenzeka ukuthi “iqhubu” noma “kungenzeka ukuthi kukhona okubambekile.” Bonana nodokotela ngokushesha okukhulu.
Kungase kungabi yisimo esibucayi. Kodwa uma kuyi-IBC, ukuqala ukwelashwa kusenesikhathi kungandisa kakhulu amathuba akho okuvimba umdlavuza ukuthi ungasabalali futhi usindise impilo yakho. Udokotela wakho kanye nethimba lokunakekela umdlavuza bazochaza konke okudingeka ukwazi futhi bakusize udlule kulolu hambo. Ungesabi ukubuza imibuzo nokukhuluma ngokwesaba kwakho.
Umlayezo Wokuya Nawe Ekhaya
- Umdlavuza Webele Ovuvukalayo (IBC) uhlobo lomdlavuza webele olungavamile kodwa olunolaka kakhulu olwenzeka ngaphandle kweqhubu.
- Izimpawu eziyinhloko ukubomvu okungazelelwe, ukuvuvukala, ukufudumala, kanye nokufiphala kwesikhumba njengekhasi le-orange.
- Lezi zimpawu zingase ziphazanyiswe njengesifo, kodwa zikhula ngokushesha kakhulu (emasontweni ambalwa).
- Uma ubona ushintsho olunjalo oluzumayo ebeleni lakho, ungalibali bese ubona udokotela wakho ngokushesha.
- Ngenxa yokuthi lo mdlavuza usakazeka ngokushesha kakhulu, ukuxilongwa kusenesikhathi kanye nokwelashwa okusheshayo kubaluleke kakhulu ukuze kusindiswe izimpilo.
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